Evidence map›Paper›PMID 29391381›Full record

ArticleBMJ open2018

Investigation of the conditions affecting the joining of Hungarian hospitals to an accreditation programme: a cross-sectional study.

Viktor Dombrádi, Barnabás Margitai, Csaba Dózsa, Orsolya Karola Bárdos-Csenteri, János Sándor, Tibor Gáll, Sándor Gődény

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Viktor DombrádiDepartment of Health Systems Management and Quality Management for Health Care, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.ORCID 0000-0002-3171-671X
Barnabás MargitaiDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Csaba DózsaInstitute of Theoretical Health Sciences, Faculty of Health Care, University of Miskolc, Miskolc, Hungary.
Orsolya Karola Bárdos-CsenteriDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
János SándorDivision of Biostatistics and Epidemiology, Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Tibor GállDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Sándor GődényDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveQuantitative studies have shown the various benefits for having accreditation in hospitals. However, neither of these explored the general conditions before applying for an accreditation. To close this gap, this study aimed to investigate the possible association between joining an accreditation programme with various hospital characteristics.

designA cross-sectional study was implemented using the databases of the 2013 Hungarian hospital survey and of the Hungarian State Treasury.

settingPublic general hospitals in Hungary.

participantsThe analysis involved 44 public general hospitals, 14 of which joined the preparatory project for a newly developed accreditation programme.

main outcome measuresThe outcomes included the percentage of compliance in quality management, patient information and identification, internal professional regulation, safe surgery, pressure sore prevention, infection control, the opinions of the heads of quality management regarding the usefulness of quality management and clinical audits, and finally, the total debt of the hospital per bed and per discharged patient.

resultsAccording to our findings, the general hospitals joining the preparatory project of the accreditation programme performed better in four of the six investigated activities, the head of quality management had a better opinion on the usefulness of quality management, and both the debt per bed number and the debt per discharged patient were lower than those who did not join. However, no statistically significant differences between the two groups were found in any of the examined outcomes.

conclusionsThe findings suggest that hospitals applying for an accreditation programme do not differ significantly in characteristics from those which did not apply. This means that if in the future the accredited hospitals become better than other hospitals, then the improvement could be solely contributed to the accreditation.

Indexed as

AccreditationGuideline AdherenceHospitals, PublicCross-Sectional StudiesHumansHungaryOrganizational ObjectivesOutcome Assessment, Health CareQuality Assurance, Health CareQuality of Health Careaccreditationclinical governanceorganisation of health servicesquality in health care

Identifiers

PMID29391381
PMCPMC5829870

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.